Nokea
After her baby's birth a patient wishes to begin breastfeeding. The nurse assists the client by:
- A. Positioning the infant to grasp the nipple to express milk.
- B. Giving the infant a bottle first to evaluate the baby's ability to suck
- C. Leaving them alone and allowing the infant to nurse as long as desired
- D. Touching the infant's cheek adjacent to the nipple to elicit the rooting reflex
Correct Answer: D
Rationale: The rooting reflex helps initiate breastfeeding.
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The nurse is performing Leopold's maneuvers. What is the primary goal?
- A. Determine fetal well-being.
- B. Assess fetal position and presentation.
- C. Measure amniotic fluid volume.
- D. Evaluate uterine contractions.
Correct Answer: B
Rationale: Leopold's maneuvers are used to assess fetal position, presentation, and engagement.
What complication is high risk for women on hormone replacement therapy (HRT) for an extended period?
- A. Endometrial cancer.
- B. Gynecomastia.
- C. Renal dysfunction.
- D. Mammary hypertrophy.
Correct Answer: A
Rationale: Long-term HRT increases endometrial cancer risk.
On which days of her cycle should a woman using the calendar method abstain from intercourse?
- A. Days 9 to 25.
- B. Days 10 to 15.
- C. Days 11 to 20.
- D. Days 12 to 17.
Correct Answer: A
Rationale: The fertile window typically occurs around days 9 to 25 of a menstrual cycle.
What cancer type is the leading cause of death in persons AFAB?
- A. breast cancer
- B. lung cancer
- C. cervical cancer
- D. ovarian cancer
Correct Answer: A
Rationale:
The nurse should anticipate the labor pattern for a fetal occiput posterior position to be
- A. Prolonged and more painful
- B. Precipitous
- C. Rapid during transition
- D. Shorter than average during the latent phase
Correct Answer: A
Rationale: The nurse should anticipate the labor pattern for a fetal occiput posterior position to be prolonged and more painful. This is because in occiput posterior position, the baby's head is facing the mother's abdomen instead of her back, which can lead to slower descent and dilation of the cervix. The baby's head may have difficulty rotating to the optimal position for birth, causing longer labor and increased back pain for the mother. Nurses should be prepared to provide additional support and pain management strategies for women experiencing labor with a fetal occiput posterior position.